<!DOCTYPE html>
<html xmlns:th="http://www.w3.org/1999/xhtml">
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">

                                                                							                                                                <div class="form-group">	
								<label class="col-sm-3 control-label">专家姓名（开户名）：</label>
								<div class="col-sm-8">
																			                                            <input id="expertName" name="expertName" placeholder="expertName" class="form-control" type="text">
																			
								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-3 control-label">批次id：</label>
								<div class="col-sm-8">
									<input id="batchId" name="batchId" placeholder="batchId" class="form-control" type="text">

								</div>
							</div>
														                                                                <div class="form-group">	
								<label class="col-sm-3 control-label">专家类型：</label>
								<div class="col-sm-8">
																			                                            <input id="expertType" name="expertType" placeholder="expertType" class="form-control" type="text">
																			
								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-3 control-label">专家身份证：</label>
								<div class="col-sm-8">
									<input id="expertIdCard" name="expertIdCard" placeholder="expertIdCard" class="form-control" type="text">

								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">手机号：</label>
								<div class="col-sm-8">
									<input id="mobile" name="mobile" placeholder="mobile" class="form-control" type="text">
								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-3 control-label">学校：</label>
								<div class="col-sm-8">
									<input id="examFeeIf" name="examFeeIf" placeholder="examFeeIf" class="form-control"
										   type="text">

								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">年份：</label>
								<div class="col-sm-8">
									<input id="year" th:value="${year}" name="year" placeholder="year" class="form-control" type="text">

								</div>
							</div>

														                                                                <div class="form-group">	
								<label class="col-sm-3 control-label">费用：</label>
								<div class="col-sm-8">
																			                                            <input id="cost" name="cost" placeholder="cost" class="form-control" type="text">
																			
								</div>
							</div>
														                                                                <div class="form-group">	
								<label class="col-sm-3 control-label">银行账户：</label>
								<div class="col-sm-8">
																			                                            <input id="bankAccount" name="bankAccount" placeholder="bankAccount" class="form-control" type="text">
																			
								</div>
							</div>
														                                                                <div class="form-group">	
								<label class="col-sm-3 control-label">开户银行：</label>
								<div class="col-sm-8">
																			                                            <input id="bankOfDeposit" name="bankOfDeposit" placeholder="bankOfDeposit" class="form-control" type="text">
																			
								</div>
							</div>
														                                                                <div class="form-group">	
								<label class="col-sm-3 control-label">备注：</label>
								<div class="col-sm-8">
																			                                            <input id="remarks" name="remarks" placeholder="remarks" class="form-control" type="text">
																			
								</div>
							</div>
														                                                                <div class="form-group">	
								<label class="col-sm-3 control-label">对公对私类型：</label>
								<div class="col-sm-8">
																			                                            <input id="refundType" name="refundType" placeholder="refundType" class="form-control" type="text">
																			
								</div>
							</div>


																					<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script src="//s.xlongwei.com/res/js/My97DatePicker/WdatePicker.js"></script>
	<script type="text/javascript" src="/js/webJs/jzweb/publicRefund/add.js">
	</script>
</body>
</html>
